TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DONALD LLOYD II...................................................................... CEO/PRESIDENT, EX-OFFICIO	40.00 ................. 0.50	X	X	998,317	50,009
(2) AARON PARKER BANKS DO...................................................................... VICE PRESIDENT	40.00 ................. 0.50	X	X	365,141	53,059
(3) WILLIAM H REDWINE...................................................................... CHAIR	2.00 ................. 0.50	X	X	0	0
(4) ANTHONY E HELTON...................................................................... VICE CHAIRMAN (END 06/24)	2.00 ................. 0.00	X	X	0	0
(5) SISTER MARLA MONAHAN SND...................................................................... PAST CHAIR (END 06/24)	2.00 ................. 0.00	X	X	0	0
(6) DAN MARKWELL...................................................................... MEMBER (END 06/24)	2.00 ................. 0.00	X		0	0
(7) BOB ALBERT PHD...................................................................... MEMBER (END 06/24)	2.00 ................. 0.00	X		0	0
(8) SHELLEY IRVING PA-C...................................................................... MEMBER	2.00 ................. 0.00	X		0	0
(9) ANGELA M GATES...................................................................... MEMBER (END 06/24)	2.00 ................. 0.00	X		0	0
(10) KAREN NICHOLE SMITH LNHA...................................................................... MEMBER (END 06/24)	2.00 ................. 0.00	X		0	0
(11) SR MARGE MOUCH SND...................................................................... MEMBER (END 06/24)	2.00 ................. 0.00	X		0	0
(12) JOHN P NORTHCUTT...................................................................... MEMBER	2.00 ................. 0.00	X		0	0
(13) RUSSELL C WARD...................................................................... MEMBER (END 06/24)	2.00 ................. 0.00	X		0	0
(14) ROBERT DIPAOLA...................................................................... MEMBER (BEG 06/24)	2.00 ................. 0.00	X		0	0
(15) CRAIG COLLINS...................................................................... MEMBER (BEG 06/24)	2.00 ................. 0.00	X		0	0
(16) ERIC MONDAY...................................................................... MEMBER (BEG 06/24)	2.00 ................. 0.00	X		0	0
(17) GINA DUGAS...................................................................... MEMBER (BEG 06/24)	2.00 ................. 0.00	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MARK BIRDWHISTELL........................................................................ MEMBER (BEG 06/24)	2.00 .......................0.00	X					0	0
(19) PENNY COX........................................................................ MEMBER (BEG 06/24)	2.00 .......................0.00	X					0	0
(20) CHRIS MCCLURG........................................................................ CFO/TREASURER	50.00 .......................0.50		X				622,007	53,009
(21) LESA P HOPSON........................................................................ SECRETARY	40.00 .......................0.50		X				80,568	15,208
(22) WILLIAM L MELAHN MD........................................................................ SR. VP OF QUALITY AND CLINICAL AFFAIRS	40.00 .......................0.00			X			443,065	50,009
(23) GARY BUNCH MD........................................................................ VP MEDICAL AFFAIRS/CMO	40.00 .......................0.00			X			409,710	28,355
(24) TRAVIS BAILEY........................................................................ SR. VP ADMINISTRATION/CSO	50.00 .......................0.00			X			367,390	37,374
(25) KATHLEEN WILSON........................................................................ VP NURSING	40.00 .......................0.00			X			256,079	34,859
(26) ANDY B PRICE........................................................................ VP INFO TECHNOLOGY/CIO	40.00 .......................0.00			X			271,240	22,405
(27) CHRISTA MURPHY........................................................................ CHIEF HUMAN RESOURCES OFFICER	40.00 .......................0.00			X			200,504	29,507
(28) MARK RHODES........................................................................ VP UKSC MEDICAL GROUP	40.00 .......................0.00			X			172,620	16,616
(29) PHILLIP OVERALL MD........................................................................ MEDICAL DIRECTOR - EMERGENCY SERVICES	40.00 .......................0.00			X			610,626	50,009
(30) AMANDA RAMEY DO........................................................................ MEDICAL DIRECTOR - PRIMARY CARE	40.00 .......................0.00			X			716,594	39,097
(31) THADIS C COX MD........................................................................ GASTROENTEROLOGIST	40.00 .......................0.00				X		1,388,593	53,059
(32) MANSHA U KAHLOON MD........................................................................ CARDIOLOGIST	40.00 .......................0.00				X		1,375,934	53,059
(33) AHMAD ABUARQOUB........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,143,842	28,355
(34) WILLIAM D LEWIS MD........................................................................ RADIOLOGIST	40.00 .......................0.00				X		1,132,095	50,009
(35) STEPHEN A WILLIAMS........................................................................ RADIOLOGIST	40.00 .......................0.00				X		1,200,147	53,059
(36) O THOMAS NEWCOMB IV........................................................................ FORMER MEMBER/UROLOGIST (END 06/24)	40.00 .......................0.00					X	585,628	50,009
(37) MARIE A DENNISON MD........................................................................ PHYSICIAN/FORMER MEMBER	40.00 .......................0.00					X	301,277	28,355

(A) Name and business address	(B) Description of services	(C) Compensation
RADAR HEALTHCARE PROVIDERS PO BOX 1708 WATKINSVILLE,GA30677	PROFESSIONAL SERVICES	1,204,800
DOCSTAR MEDICAL PARTNERS 560 VILLAGE BLVD STE 260 WEST PALM BEACH,FL33409	PROFESSIONAL SERVICES	1,179,680
CLOUD WAVE HEALTHCARE IT SOLUTIONS PO BOX 773070 DETROIT,MI482773070	IT SERVICES	873,629
BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE,KY40223	PROFESSIONAL SERVICES	816,577
LOCUM TENENSCOM PO BOX 405547 ATLANTA,GA303845547	PROFESSIONAL SERVICES	669,867
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 23

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization ST CLAIRE MEDICAL CENTER INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization ST CLAIRE MEDICAL CENTER INC		Employer identification number 61-0605336

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization ST CLAIRE MEDICAL CENTER INC			Employer identification number 61-0605336
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

11,647

Total. Add lines 1c through 1i ....................................................................................................

11,647

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	ST. CLAIRE PAID MEMBERSHIP DUES TO KHA, OF WHICH A PORTION OF THE DUES WERE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATION.

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	16,069,000		16,069,000
b	Buildings ....	44,180,170	2,439,402	41,740,768
c	Leasehold improvements	1,338,250	164,097	1,174,153
d	Equipment ....	17,604,912	2,025,149	15,579,763
e	Other .....	5,239,437	7,906	5,231,531
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				79,795,215

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)RELATED PARTY RECEIVABLE				1,974,695
(2)ASSETS WHOSE USE IS LIMITED (AWUL)				2,572,770
(3)ROU ASSET - OPERATING LEASE				5,094,421
(4)INVESTMENT IN KENTUCKY HEALTH COLLABORATIVE				100,183
(5)ESTIMATED THIRD PARTY SETTLEMENTS				51,475
(6)UNIVERSITY OF KY - DIRECTED PAYMENTS RECEIVABLE				16,894,034
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				26,687,578

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PROFESSIONAL LIABILITY CLAIMS RESERVE	3,108,931
ROU LIABILITY - OPERATING LEASE	5,166,766
SUBSCRIPTION LIABILITIES - SBITA	103,304






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	8,379,001
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	ALL ENTITIES HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAX UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. ALL ENTITIES FILE TAX RETURNS UN THE U.S. FEDERAL JURISDICTION.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 12500.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		586,654		586,654	0.200 %
b	Medicaid (from Worksheet 3, column a) . . . . .		56,945,801	114,606,334	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		57,532,455	114,606,334	586,654	0.200 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7	2,646,347		2,646,347	0.880 %
f	Health professions education (from Worksheet 5) . . .	4	4,570,153		4,570,153	1.520 %
g	Subsidized health services (from Worksheet 6) . . . .	6	6,188,475		6,188,475	2.060 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		270,450		270,450	0.090 %
j	Total. Other Benefits . .	17	13,675,425		13,675,425	4.550 %
k	Total. Add lines 7d and 7j .	17	71,207,880	114,606,334	14,262,079	4.750 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development			2,450		2,450	0 %
3	Community support			51,000		51,000	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			53,450		53,450	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

18,407,206

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

30,932,165

Enter Medicare allowable costs of care relating to payments on line 5.....

35,210,755

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-4,278,590

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST CLAIRE REGIONAL MEDICAL CENTER 222 MEDICAL CIRCLE DRIVE MOREHEAD,KY40351 WWW.ST-CLAIRE.ORG	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST CLAIRE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST CLAIRE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 125.000000000000%
and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/

The FAP application form was widely available on a website (list url):

HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST CLAIRE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ST CLAIRE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
ST. CLAIRE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: ST. CLAIRE HEALTHCARE ("SCH") ENLISTED THE SERVICES OF BLUE & CO., LLC (BLUE), A CERTIFIED PUBLIC ACCOUNTING FIRM SPECIALIZING IN ACCOUNTING, TAX, AND COMPLIANCE FOR THE HEALTHCARE INDUSTRY, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ANALYZE THE DATA IN ACCORDANCE WITH THE REQUIREMENTS OUTLINED IN SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) OF 2010. ST. CLAIRE HEALTHCARE FULLY FUNDED THE ASSESSMENT PROCESS.THE PRIMARY DATE WAS COLLECTED, ANALYZED, AND PRESENTED WITH THE ASSISTANCE OF BLUE. TWO PRIMARY DATA COLLECTION METHODS WERE USED: 1) SURVEYS AND 2) PERSONAL INTERVIEWS. BLUE AND SCH DEVELOPED A SURVEY TO GATHER OPINIONS, PERSPECTIVES, AND OVERALL COMPREHENSION FROM COMMUNITY MEMBERS WHO ENCOMPASS A WIDE RANGE OF INTERESTS, INCLUDING THOSE WITH SPECIFIC EXPERTISE IN PUBLIC HEALTH. THESE INDIVIDUALS ALSO ADVOCATED FOR THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WITHIN THE COMMUNITY.
ST. CLAIRE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: THE PURPOSE OF THE ASSESSMENT WAS TO IDENTIFY SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY AND IDENTIFY ANY GAPS IN THE SERVICES PROVIDED. IT ALSO AIMED TO PROVIDE THE COMMUNITY WITH INFORMATION TO EVALUATE ESSENTIAL HEALTHCARE, PREVENTIVE CARE, HEALTH EDUCATION, AND TREATMENT SERVICES. THIS INITIATIVE DEMONSTRATES ST. CLAIRE HEALTHCARE'S COMMITMENT TO SHARING INFORMATION THAT CAN CONTRIBUTE TO IMPROVED HEALTHCARE AND QUALITY OF CARE FOR THE COMMUNITY, WHILE STRENGTHENING AND EXPANDING THE EXISTING NETWORK OF SERVICES AND PROVIDERS.COMMUNITY HEALTH NEEDS ASSESSMENT GOALS:THE ASSESSMENT HAD SEVERAL GOALS WHICH INCLUDED IDENTIFICATION AND DOCUMENTATION OF: COMMUNITY HEALTH NEEDS QUANTITATIVE ANALYSIS OF NEEDED PHYSICIANS BY SPECIALTY IN THE SERVICE AREA HEALTH SERVICES OFFERED IN THE HOSPITAL'S SERVICE AREA SIGNIFICANT GAPS IN HEALTH NEEDS AND SERVICES OFFERED BARRIERS TO MEETING ANY NEEDS THAT MAY EXISTOTHER GOALS OF THE ASSESSMENT WERE: STRENGTHEN RELATIONSHIPS WITH LOCAL COMMUNITY LEADERS, HEALTH CARE LEADERS AND PROVIDERS, OTHER HEALTH SERVICE ORGANIZATIONS, AND THE COMMUNITY AT LARGE PROVIDE QUANTITATIVE AND QUALITATIVE DATA TO HELP GUIDE FUTURE STRATEGIC POLICY, BUSINESS, AND CLINICAL PROGRAMMING DECISIONSIN 2023, THE AMERICA'S HEALTH RANKINGS REPORT HIGHLIGHTED A RECORD HIGH IN THE PREMATURE DEATH RATE ACROSS THE NATION, WITNESSING A CONCERNING 9% SURGE FROM THE PRECEDING YEAR. THIS INCREASE HAS PREDOMINANTLY BEEN ATTRIBUTED TO A RISE IN CHRONIC DISEASES, CONTRIBUTING TO SIX OF THE TEN LEADING CAUSES OF DEATH AMONG INDIVIDUALS UNDER 75 YEARS OLD. ADDITIONALLY, FACTORS SUCH AS DRUG-RELATED DEATHS, FIREARM FATALITIES, AND HOMICIDES HAVE ALSO SHOWN NOTABLE INCREASES.WHEN ASSESSING KENTUCKY'S PREMATURE DEATH RATE IN COMPARISON TO NATIONAL STATISTICS, KENTUCKY'S RATE WAS 39% HIGHER THAN THE NATIONAL AVERAGE, INCREASING 11% FROM 2023 TO 2024. A DETAILED ASSESSMENT AT THE COUNTY LEVEL WITHIN THE GATEWAY DISTRICT, COMPRISING ROWAN, MORGAN, BATH, MENIFEE, CARTER, ELLIOTT, MONTGOMERY, AND FLEMING COUNTIES, KEY DRIVERS OF THE INCREASE IN THE PREMATURE DEATH RATE. ROWAN COUNTY, WHERE ST. CLAIRE IS LOCATED, EXHIBITED A 44% INCREASE ABOVE THE NATIONAL AVERAGE, ESCALATING BY 30% FROM 2023 TO 2024. BATH COUNTY DEMONSTRATED THE HIGHEST RATE AMONG THE EIGHT COUNTIES, REGISTERING 80% ABOVE THE NATIONAL AVERAGE AND 30% HIGHER THAN KENTUCKY'S AVERAGE.ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), RISK FACTORS CONTRIBUTING TO CHRONIC DISEASES AND, SUBSEQUENTLY, PREMATURE DEATHS INCLUDE SMOKING, POOR NUTRITION, PHYSICAL INACTIVITY, EXCESSIVE ALCOHOL CONSUMPTION, AND OBESITY. GIVEN THE SUBSTANTIAL RISE IN PREMATURE DEATHS AT BOTH NATIONAL AND LOCAL LEVELS, A THOROUGH ANALYSIS OF QUANTITATIVE DATA FROM COUNTY HEALTH RANKINGS WAS CONDUCTED TO IDENTIFY KEY DRIVERS. THE EXAMINATION OF HEALTH FACTORS ACROSS THE STATE AND ITS COUNTIES REVEALED SEVERAL DECLINING TRENDS, AS DELINEATED BELOW.1. OBESITY RATE: NATIONALLY, THE RATE STANDS AT 34%, WHILE KENTUCKY AND ROWAN COUNTY SHARE A RATE OF 41%. TWO OUT OF THE EIGHT COUNTIES LISTED EXHIBIT THE HIGHEST RATE AT 44%, SURPASSING THE NATIONAL AVERAGE BY A 29% INCREASE AND THE STATE AVERAGE BY 7%.2. PHYSICAL INACTIVITY: THE NATIONAL AVERAGE IS 23%, WITH KENTUCKY REPORTING AN AVERAGE OF 30%, WHICH IS A 30% HIGHER RATE THAN THE NATIONAL AVERAGE. ROWAN COUNTY'S INACTIVITY RATE SLIGHTLY IMPROVED FROM 32% IN 2023 TO 31% IN 2024, WHILE ELLIOT AND MENIFEE COUNTIES RECORDED THE HIGHEST RATE OF THE EIGHT COUNTIES AT 36%, 57% INCREASE ABOVE THE NATIONAL AVERAGE AND 20% HIGHER THAN THE STATE AVERAGE.3. POOR OR FAIR HEALTH: NATIONALLY, THE AVERAGE IS 14%, WHILE THE STATE AVERAGE IS 21%, INDICATING A 50% INCREASE ABOVE THE NATIONAL AVERAGE. ROWAN COUNTY OBSERVED A SLIGHT RISE FROM 22% TO 23% FROM 2023 TO 2024, MARKING A 64% INCREASE ABOVE THE NATIONAL AVERAGE. ELLIOT COUNTY HAS THE HIGHEST RATE AT 28%.4. POOR PHYSICAL HEALTH DAYS: NATIONALLY, THE RATE IS 3.3, KENTUCKY IS 4.5 AND ROWAN COUNTY IS 4.9. THE HIGHEST COUNTY IS ELLIOT COUNTY AT 5.5.5. ADULT SMOKING: THE NATIONAL AVERAGE IS 15%, WHILE KENTUCKY REPORTS A RATE OF 20%. ROWAN COUNTY EXPERIENCED A SLIGHT DECREASE FROM 25% IN 2023 TO 24% IN 2024, ALTHOUGH REMAINING ABOVE NATIONAL AND STATE LEVELS. MENIFEE AND ELLIOT COUNTY RECORDED THE HIGHEST RATE AT 28%, WITH OTHER COUNTIES RANGING FROM 24% TO 27%.6. DIABETES PREVALENCE: NATIONALLY, THE AVERAGE IS 10%, WHILE KENTUCKY REPORTS A RATE OF 12%. ROWAN COUNTY IMPROVED FROM 12% IN 2023 TO 11% IN 2024. AMONG THE EIGHT COUNTIES, RATES RANGED FROM 11% TO 15%, WITH ELLIOT AND CARTER COUNTY RECORDING THE HIGHEST RATE AT 13%.7. FOOD INSECURITY: FOOD INSECURITY CAN LEAD TO POOR NUTRITION, WHICH CAN DRIVE THE OBESITY RATE AND INCREASE IN CHRONIC DISEASES. NATIONALLY, FOOD INSECURITY IS AT A 10% AVERAGE AND THE STATEWIDE AVERAGE IS 13%. AT A COUNTY LEVEL, FLEMING COUNTY IS THE ONLY COUNTY THAT IS THE SAME AS THE STATE AND THE REST OF THE EIGHT COUNTIES ARE HIGHER. ROWAN AND BATH COUNTY IS AT 16%, MORGAN COUNTY IS 17%, MONTGOMERY IS AT 15%, MENIFEE AND CARTER AT 19%, AND ELLIOT IS AT 20%. QUALITATIVE DATA WAS ALSO COLLECTED FROM THE COMMUNITY THROUGH A SURVEY THAT ALSO HAD OPEN-ENDED COMMENTS AS WELL AS INTERVIEWS WITH COMMUNITY LEADERS. THERE WERE SIMILAR THEMES THAT WERE FOUND IN BOTH THE QUALITATIVE AND QUANTITATIVE DATA REVIEW. THE MAIN THEMES THAT WERE FOUND WERE DRUG ABUSE, OBESITY, DIABETES, AND ACCESS. OTHER FACTORS THAT WERE NOTED AS LEADING TO PREMATURE DEATH WERE DRUG-RELATED DEATHS. DRUG OVERDOSE DEATHS NATIONALLY ARE 27 DEATHS PER 100,000 PEOPLE. KENTUCKY HAD A RATE OF 43, WHICH IS 59% HIGHER THAN THE NATIONAL AVERAGE. ROWAN COUNTY NEARLY DOUBLED FROM THE 2023 STATISTICS TO THE 2024, GOING FROM 34 TO 62 IN 2024. MONTGOMERY AND CARTER COUNTY ARE THE HIGHEST AT 65 DEATHS PER 100,000 FOR DRUG-RELATED DEATHS. IN THE COMMUNITY, 35% LEFT COMMENTS ABOUT DRUG AND ALCOHOL BEING THE CAUSE OF THE COMMUNITY NOT GETTING THE CARE THEY NEED. INTERVIEWEES STATED THAT THEIR NEED MORE LONG-TERM SOLUTIONS AND GUIDANCE IN THE GROUP HOMES. "DRUG USE HAS GOTTEN WORSE IN THE LAST 3 YEARS.""OPIOID CRISIS HAS NOT IMPROVED."8. ACCESS TO CARE IMPACTS THE WELL-BEING OF INDIVIDUALS IN A COMMUNITY BECAUSE THEY ARE LESS LIKELY TO GET CARE THEY NEED TO TREAT CHRONIC CONDITIONS. ACCESS TO CARE HAD THE MOST COMMENTS FROM THE COMMUNITY SURVEY AS A BARRIER TO HEALTHCARE. THE TOP CONCERN WAS ACCESS TO SPECIALISTS AND A LONG WAIT TIME IF THEY COULD ACCESS ONE. ANOTHER COMMON THEME SEEN IN BOTH THE SURVEY RESPONDENTS AND THE SURVEY, WAS DENTAL CARE ACCESS AND COST OF CARE AND PROVIDER ACCESS BEING THE BARRIER. THE QUALITATIVE DATA ALSO HIGHLIGHTED THE NEED FOR MORE DENTAL PROVIDERS, SHOWING THE NATIONAL AVERAGE AT 1,330:1 RATIO AND 1,600:1 RATIO FOR THE STATE, BUT IN ALL EIGHT COUNTIES, WITH THE EXCEPTION OF ROWAN, WERE ALL HIGHER THAN THE STATE RATIO, WITH BATH COUNTY HAVING THE HIGHEST RATIO OF 12,830:1 RATIO FOR DENTAL PROVIDERS IN THE COUNTY. PRIMARY CARE RATIOS OF PROVIDERS TO PEOPLE LIVING IN THE COUNTY HAVE ALSO BEEN ON THE DECLINE. THE NATIONAL AVERAGE 1,330 PEOPLE TO 1 PROVIDER, AND KENTUCKY IS 1,600 TO 1 PROVIDER. ALTHOUGH ROWAN IS SLIGHTLY BETTER THAN THE STATE AT 1,550:1, IT HAS GOTTEN WORSE FROM 23 TO 24 AND THE OTHER EIGHT COUNTIES ARE SIGNIFICANTLY HIGHER RATIOS (LOWER IS BETTER). MORGAN COUNTY HAS THE HIGHEST RATIO AT 13,820:1 AND THE NEXT HIGHEST IS ELLIOT AT 7,380:1. SURVEY RESPONDENTS DID NOT CALL OUT SPECIFICALLY PRIMARY CARE AS BEING AN ISSUE BUT DID SAY THAT THEY COULD NOT GET AN APPOINTMENT WHEN THEY NEEDED ONE, POINTING TO AN ISSUE WITH GETTING INTO THE PRIMARY CARE DOCTOR. THIS WAS DUE TO NO APPOINTMENTS, ACCESS AFTER WORK HOURS, OR AFFORDABILITY.ACCORDING TO AMERICA'S HEALTH RANKINGS, "THE HIGH COST OF HEALTH CARE IN THE U.S. IS A MAJOR REASON WHY INDIVIDUALS AVOID SEEKING NEEDED CARE. PEOPLE WHO DON'T GET NEEDED CARE ARE AT RISK OF PREVENTABLE HOSPITALIZATIONS AND MISSED OPPORTUNITIES TO PREVENT DISEASE AND MANAGE CHRONIC CONDITIONS ALL OF WHICH CAN LEAD TO WORSE AND MORE EXPENSIVE HEALTH OUTCOMES." IN KENTUCKY AND THE 9 COUNTIES, ALL WERE ABOVE THE NATIONAL AVERAGE WITH PREVENTABLE HOSPITAL STAYS. THE NATIONAL AVERAGE IS 2,681 PER 100,000. KENTUCKY IS 3,457 AND ROWAN COUNTY IS, 4,716, WITH CARTER COUNTY AT THE HIGHEST AT 4,915. THIS SHOWS THAT A POTENTIAL UNDERLYING CAUSE COULD BE RELATED TO COST, BUT HOURS THAT PEOPLE CAN RECEIVE CARE COULD ALSO BE AN UNDERLYING CAUSE. BASED ON THE INFORMATION, THE AREAS OF FOCUS ARE AS FOLLOWS.1. PREMATURE DEATH RATE- OBESITY & CHRONIC CONDITIONS CONTRIBUTING TO PREMATURE DEATH- FOOD INSECURITY2. DRUG, ALCOHOL, AND TOBACCO USE AND ABUSE3. ACCESS TO CARE- SPECIALTY CARE- PRIMARY CARE- MENTAL HEALTH- DENTAL
SCHEDULE H, PART V SECTION B, LINE 7	CHNA WEBSITE LINK: HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?16
Name and address		Type of Facility (describe)
1	1 - ST CLAIRE FAMILY MEDICINE-MOREHEAD 316 WEST SECOND ST MOREHEAD,KY40351	OUTPATIENT FAMILY MEDICINE
2	2 - ST CLAIRE FAMILY MEDICINE-OLIVE HILL 155 BRICKLAYER ST OLIVE HILL,KY41164	OUTPATIENT FAMILY MEDICINE
3	3 - ST CLAIRE FAMILY MEDICINE-OWINGSVILLE 632 SLATE AVE OWINGSVILLE,KY40360	OUTPATIENT FAMILY MEDICINE
4	4 - ST CLAIRE FAMILY MEDICINE- SANDY HOOK 390 KY HWY 75 SANDY HOOK,KY41171	OUTPATIENT FAMILY MEDICINE
5	5 - ST CLAIRE FAMILY MEDICINE- FRENCHBURG 732 HWY 36 FRENCHBURG,KY40322	OUTPATIENT FAMILY MEDICINE
6	6 - ST CLAIRE MEDICAL PAVILION 245 FLEMINGSBURG RD MOREHEAD,KY40351	MULTI SPECIALTY GROUP
7	7 - ST CLAIRE OUTPATIENT CENTER 1028 EAST MAIN ST MOREHEAD,KY40351	OUTPATIENT LAB, PHYSICAL, OCCUPATIONAL THERAPY & SLEEP CENTER
8	8 - ST CLAIRE PEDIATRICS 716 W MAIN ST MOREHEAD,KY40351	PEDIATRIC CARE
9	9 - ST CLAIRE FAMILY MEDICAL SUPPLY 707 E MAIN STREET MOREHEAD,KY40351	HOME MEDICAL SUPPLY AND EQUIPMENT
10	10 - ST CLAIRE COUNSELING 555 W SUN ST MOREHEAD,KY40351	OUTPATIENT COUNSELING
11	11 - ST CLAIRE URGENT TREATMENT CENTER 1028 EAST MAIN ST MOREHEAD,KY40351	OUTPATIENT CLINIC
12	12 - ST CLAIRE FAMILY MEDICINE-MOREHEAD NORT 255 OLD VIKING DR MOREHEAD,KY40351	OUTPATIENT FAMILY MEDICINE
13	13 - ST CLAIRE HOME HEALTH 135 N HARGIS AVE MOREHEAD,KY40351	HOME HEALTH
14	14 - ST CLAIRE HOSPICE 201 LYONS AVE MOREHEAD,KY40351	HOSPICE
15	15 - ST CLAIRE HEALTHCARE URGENT TREATMENT C 431 HAMPTON WAY MOREHEAD,KY40351	OUTPATIENT CLINIC
16	16 - ST CLAIRE HEALTHCARE MSU 112 ALLIE YOUNG HALL MOREHEAD,KY40351	OUTPATIENT CLINIC

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE COST-TO-CHARGE RATIO FROM THE FILED COST REPORT FOR 6/30/2025 WAS USED. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. THE ORGANIZATION'S COST ACCOUNTING PROGRAM WAS UTILIZED FOR CALCULATING PORTIONS OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING PROGRAM ENCOMPASSES ALL PATIENT TYPES, SERVICES AND PAYORS. THE COST ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE UTILIZED IN CALCULATING COST. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAM, SOME SUBSIDIZED SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGHOUT THE GENERAL LEDGER PROCESS.
PART I, LINE 7G:	A FAMILY PRACTICE CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):	TOTAL BAD DEBT EXPENSE HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES:	ST. CLAIRE HEALTHCARE ("SCH") ENHANCES ITS MISSION AND VALUES THROUGH COMMUNITY EVENTS AND PROGRAMS TO BENEFIT THOSE IN THE AREA WE SERVE. WE ARE ALSO DEVOTED TO THE EDUCATION AND DEVELOPMENT OF HEALTH PROFESSIONALS, AS THEIR TRAINING IS VITAL TO IMPROVING COMMUNITY HEALTH, BOTH NOW AND IN THE FUTURE.WE HAVE A STRONG EMPHASIS ON BEING INVOLVED IN OUR COMMUNITY THROUGH HEALTH FAIRS, SCREENING EVENTS, SUPPORT GROUPS, AND DEVELOPING STRONG RELATIONSHIPS WITH OTHER COMMUNITY ORGANIZATIONS TO BETTER HELP THE PEOPLE OF NORTHEASTERN KENTUCKY. WE HOST MULTIPLE EVENTS THROUGHOUT THE YEAR FOCUSED ON GENERAL HEALTH AND SCREENINGS, AS WELL AS MORE SPECIFIC EVENTS FOR CHRONIC ILLNESSES SUCH AS BREAST AND LUNG CANCER, KIDNEY DISEASE, AND MORE. WE ALSO PARTICIPATE IN COMMUNITY EVENTS HOSTED BY OUTSIDE GROUPS, PROVIDING A FIRST AID TENTS AND EDUCATIONAL RESOURCES. TO TEACH THE IMPORTANCE OF HEALTH TO THE NEXT GENERATION, WE COLLABORATE WITH OUR LOCAL SCHOOL DISTRICT TO PROVIDE SPORTS PHYSICALS ON NUMEROUS OCCASIONS THROUGHOUT THE SCHOOL YEAR. WE ALSO CO-HOST AN ANNUAL BACK-TO-SCHOOL CELEBRATION WITH NUMEROUS HEALTH AND SCHOOL RESOURCES FOR THE CHILDREN IN OUR COMMUNITY.WE HAVE INCREASED THE AMOUNT OF SUPPORT GROUPS WE HOST TO BETTER SERVE THE NEEDS OF THE AREA. THESE GROUPS ARE HOSTED BY A VARIETY OF TRAINED SCH EMPLOYEES, INCLUDING PASTORAL CARE, SOCIAL SERVICES, COUNSELING, AS WELL AS OTHER DEPARTMENTS.
PART III, LINE 2:	THE HOSPITAL DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.
PART III, LINE 3:	SECTION A. BAD DEBT EXPENSE. LINE 3 THE MEDICAL CENTER HAS A FINANCIAL ASSISTANCE POLICY THAT STATES PARTICIPATION IN CHARITY PROGRAM REQUIRES THAT CANDIDATES FULLY COOPERATE. THE MEDICAL CENTER EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE AND PROVIDES ACCESS TO DEDICATED FINANCIAL COUNSELORS DAILY. FOR THIS REASON THE MEDICAL CENTER BELIEVES THAT IT IS ACCURATELY CAPTURING ALL CHARITY CARE DEDUCTIONS ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE UNDER THE ORGANIZATION CHARITY CARE POLICY IS NEGLIGIBLE.
PART III, LINE 4:	SEE PAGES 8 AND 10 ON THE ATTACHED FINANCIAL STATEMENTS FOR AN EXPLANATION OF BAD DEBT EXPENSES.
PART III, LINE 8:	THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED JUNE 30, 2025 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
PART III, LINE 9B:	THE MEDICAL CENTER WILL ASSIST ALL PATIENTS AND THEIR RESPONSIBLE PARTY WITH METHODS OF PAYING ACCOUNTS GENERATED AS A RESULT OF NO THIRD PARTY COVERAGE OR BALANCES AFTER INSURANCE PAYMENTS. ACCEPTABLE PAYMENT ARRANGEMENTS ARE REQUESTED IF FULL PAYMENT CANNOT BE MADE. COMPUTER GENERATED STATEMENTS ARE MAILED TO THE RESPONSIBLE PARTY ON A REGULAR SCHEDULE. LETTERS ARE ALSO SENT AS SUPPLEMENT TO THE DATA STATEMENTS TO KEEP THE PATIENT/GUARANTOR INFORMED OF THE STATUS OF THE ACCOUNT. HEALTHCARE FINANCIAL ASSISTANCE WILL BE GRANTED IF THERE ARE NO OTHER RESOURCES AVAILABLE TO THE PATIENT AND THEY HAVE MET THE GUIDELINES AND FURNISHED REQUESTED VERIFICATION.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES COMMUNITY NEEDS THROUGH VOLUNTEER BOARDS, COMMUNITY INVOLVEMENT, VOLUNTEERING, AND BOARD SERVICE.
PART VI, LINE 3:	PATIENT FINANCIAL SERVICES' PATIENT ACCESS/REGISTRATION STAFF AND CASHIER ASSIST PATIENTS WITH INFORMING AND EDUCATING PATIENTS ABOUT THEIR ACCOUNTS AND CHARGES.
PART VI, LINE 4:	ST. CLAIRE HEALTHCARE IS A MEDICAL HUB SERVING 11 COUNTIES LOCATED IN THE NORTHEASTERN KENTUCKY CITY OF MOREHEAD. FOUNDED ON JULY 1, 1963, ST. CLAIRE MEDICAL CENTER WAS CREATED THROUGH THE EFFORTS OF MANY PEOPLE IN THE COMMUNITY, LED BY DR. LOUISE CAUDILL. ST. CLAIRE HEALTHCARE IS THE LARGEST EMPLOYER IN THE REGION; WITH OVER 1,300 STAFF MEMBERS, INCLUDING A GROWING MEDICAL STAFF OF MORE THAN 125 PHYSICIANS, AND NEARLY 70 ADVANCED PRACTICE PROFESSIONALS REPRESENTING MORE THAN 30 MEDICAL SPECIALTIES. IT INCLUDES THE LARGEST RURAL HOSPITAL IN EASTERN KENTUCKY, SEVEN PRIMARY CARE LOCATIONS LOCATED WITHIN FIVE COUNTIES, A MULTI-SPECIALTY MEDICAL PAVILION, TWO URGENT CARE CENTERS, PEDIATRICS CLINIC, RETAIL PHARMACY, COUNSELING CENTER, MEDICAL EQUIPMENT AND SUPPLY STORE, AND AN OUTPATIENT CENTER. ADDITIONALLY, SCH PROVIDES HOME HEALTH AND HOSPICE SERVICES IN EIGHT COUNTIES WITHIN ITS EIGHT (8) COUNTY SERVICE REGION. THERE IS AN ESTABLISHED TRAINING SITE FOR COLLEGE AND UNIVERSITY STUDENTS IN HEALTHCARE/MEDICAL PROGRAMS AT THE UNIVERSITY OF KENTUCKY, MOREHEAD STATE UNIVERSITY, THE UNIVERSITY OF PIKEVILLE COLLEGE OF OSTEOPATHIC MEDICINE, MAYSVILLE COMMUNITY AND TECHNICAL COLLEGE AND OTHER INSTITUTIONS. IN ADDITION TO PROVIDING SERVICES AT THE MEDICAL CENTER'S MAIN CAMPUS IN MOREHEAD, SCH'S OPERATIONS CONSIST OF A ST. CLAIRE REGIONAL OUTPATIENT CENTER, SIX COMPREHENSIVE FAMILY MEDICINE CLINICS IN FIVE COUNTIES, A REGIONAL TELEMEDICINE SYSTEM, AND AN EIGHT-COUNTY HOME CARE SERVICE REGION COMPRISED OF HOME HEALTH, HOSPICE AND PALLIATIVE CARE, AND HOME MEDICAL EQUIPMENT. ADDITIONALLY, ST. CLAIRE HEALTHCARE PARTNERS WITH THE UNIVERSITY OF KENTUCKY HEALTHCARE TO OFFER SERVICES THROUGH THE UK MARKEY CANCER TREATMENT CENTER IN MOREHEAD AND THE UK WOMEN'S CENTER. SCH ALSO SERVES AS A HOME FOR THE UNIVERSITY OF KENTUCKY'S RURAL PHYSICIAN LEADERSHIP PROGRAM, A SATELLITE MEDICAL SCHOOL DESIGNED TO TRAIN THE NEXT GENERATION OF RURAL PHYSICIANS FOR THE REGION.SERVICE AREA & COMMUNITY OF THE HOSPITAL: BATH COUNTY CARTER COUNTY ELLIOTT COUNTY FLEMING COUNTY MENIFEE COUNTY MONTGOMERY COUNTY MORGAN COUNTY ROWAN COUNTYST. CLAIRE HEALTHCARE (SCH) CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2024 FOR THE BENEFIT OF THE APPROXIMATELY 24,409 RESIDENTS OF ROWAN COUNTY, AS PER THE 2023 US CENSUS DATA, AND FOR THE PATIENTS COMING FROM NEARBY COMMUNITIES. MOREOVER, THE HOSPITAL EXTENDS ITS SERVICES TO INDIVIDUALS RESIDING IN THE ADJACENT COUNTIES OF BATH, CARTER, ELLIOTT, FLEMING, MENIFEE, MONTGOMERY, MORGAN, AND ROWAN.SCH'S MAIN SERVICE AREA ENCOMPASSES ROWAN COUNTY, WHICH SPANS AROUND 286 SQUARE MILES. THE LOCAL ECONOMY AND SURROUNDING REGIONS PRIMARILY FOCUS ON HEALTHCARE & SOCIAL ASSISTANCE (2,101 INDIVIDUALS), EDUCATIONAL SERVICES (1,810 INDIVIDUALS), AND RETAIL TRADE (1,243 INDIVIDUALS). THE HIGHEST PAYING INDUSTRY IN THE COUNTY IS UTILITIES, WITH AN AVERAGE INCOME OF $59,345.ACCORDING TO THE 2023 CENSUS DATA, THE MEDIAN AGE IN ROWAN COUNTY IS 30.6, WHEREAS THE NATIONAL MEDIAN AGE IS 39 YEARS. THE AVERAGE NUMBER OF INDIVIDUALS PER HOUSEHOLD IN ROWAN COUNTY IS 2.43, SLIGHTLY LOWER THAN THE U.S. AVERAGE OF 2.6. IN TERMS OF RACIAL DEMOGRAPHICS, ROWAN COUNTY COMPRISES 95.5% WHITE, 1.9% BLACK OR AFRICAN AMERICAN, 0.2% NATIVE AMERICAN, 0.8% ASIAN, 0% PACIFIC ISLANDER, 0% FROM OTHER RACES, AND 1.5% FROM TWO OR MORE RACES. ADDITIONALLY, 2.2% OF THE POPULATION IDENTIFIES AS HISPANIC OR LATINO. INDIVIDUALS AGED 65 YEARS AND OLDER MAKE UP 15% OF THE COUNTY'S POPULATION, WHILE THOSE UNDER 18 YEARS OLD REPRESENT 20% OF THE TOTAL POPULATION.THE DEFINED COMMUNITIES SERVED WITHIN THIS REPORT DID NOT EXCLUDE THE MEDICALLY UNDERSERVED, LOWINCOME, OR MINORITY POPULATIONS WHO LIVE IN THE BELOW GEOGRAPHIC AREAS. IN ADDITION, THE INFORMATION DID NOT EXCLUDE PATIENTS BASED ON WHETHER (OR HOW MUCH) THEY OR THEIR INSURERS PAY FOR THE CARE RECEIVED OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER ST. CLAIRE HEALTHCARE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 5:	THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH THE FOLLOWING: THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THESE VOLUNTEERS ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ANY SURPLUS FUNDS ARE APPLIED DIRECTLY OR INDIRECTLY TO IMPROVE SERVICES.
PART VI, LINE 7, REPORTS FILED WITH STATES	KY

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
ST CLAIRE MEDICAL CENTER INC

Employer identification number
61-0605336

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) LIFE LEARNING CENTER 20 WEST 18TH STREET COVINGTON,KY41011	20-3454261	501(C)(3)	51,815	SUBAWARD FOR EDA PLANNING GRANT
(2) CLARK COUNTY HEALTH DEPARTMENT 400 PROFESSIONAL DRIVE WINCHESTER,KY40391	61-1021133	CLARK COUNTY	29,346	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
(3) COMPREHEND INC 611 FOREST AVENUE MAYSVILLE,KY41056	61-0680352	501(C)(3)	19,085	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
(4) POWELL COUNTY FISCAL COURT PO BOX 506 STANTON,KY40380	61-6016937	POWELL COUNTY	10,000	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
(5) RECOVERY ROWAN COUNTY INCORPORATED 212 BARKER PLACE MOREHEAD,KY40351	88-0584019	501(C)(3)	127,966	SUBAWARD FOR OVERDOSE RESPONSE GRANT
(6) PATHWAYS INC PO BOX 790 ASHLAND,KY41101	61-0661987	501(C)(3)	541,797	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
(7) TRI STATE PRIMARY CARE 101 ASHLAND DRIVE ASHLAND,KY41101	61-1351718	FOR-PROFIT	60,361	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/INTEGRATED CARE COORDINATOR

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SPONSORSHIPS	3	20,000
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE HOSPITAL PROVIDES UNRESTRICTED GRANTS TO APPROVED 501(C)(3) ORGANIZATIONS BASED ON COMMUNITY NEED.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1THADIS C COX MD GASTROENTEROLOGIST	(i) (ii)	913,487 ------------- 0	443,692 ------------- 0	31,414 ------------- 0	17,250 ------------- 0	35,809 ------------- 0	1,441,652 ------------- 0	0 ------------- 0
2MANSHA U KAHLOON MD CARDIOLOGIST	(i) (ii)	686,079 ------------- 0	666,081 ------------- 0	23,774 ------------- 0	17,250 ------------- 0	35,809 ------------- 0	1,428,993 ------------- 0	25,096 ------------- 0
3STEPHEN A WILLIAMS RADIOLOGIST	(i) (ii)	711,173 ------------- 0	457,704 ------------- 0	31,270 ------------- 0	17,250 ------------- 0	35,809 ------------- 0	1,253,206 ------------- 0	0 ------------- 0
4WILLIAM D LEWIS MD RADIOLOGIST	(i) (ii)	713,175 ------------- 0	387,506 ------------- 0	31,414 ------------- 0	17,250 ------------- 0	32,759 ------------- 0	1,182,104 ------------- 0	0 ------------- 0
5AHMAD ABUARQOUB PHYSICIAN	(i) (ii)	642,460 ------------- 0	476,304 ------------- 0	25,078 ------------- 0	17,250 ------------- 0	11,105 ------------- 0	1,172,197 ------------- 0	0 ------------- 0
6DONALD LLOYD II CEO/PRESIDENT, EX-OFFICIO	(i) (ii)	495,936 ------------- 0	468,213 ------------- 0	34,168 ------------- 0	17,250 ------------- 0	32,759 ------------- 0	1,048,326 ------------- 0	0 ------------- 0
7AMANDA RAMEY DO MEDICAL DIRECTOR - PRIMARY CARE	(i) (ii)	255,497 ------------- 0	460,917 ------------- 0	180 ------------- 0	17,250 ------------- 0	21,847 ------------- 0	755,691 ------------- 0	0 ------------- 0
8CHRIS MCCLURG CFO/TREASURER	(i) (ii)	351,798 ------------- 0	238,105 ------------- 0	32,104 ------------- 0	17,250 ------------- 0	35,759 ------------- 0	675,016 ------------- 0	0 ------------- 0
9PHILLIP OVERALL MD MEDICAL DIRECTOR - EMERGENCY SERVICE	(i) (ii)	600,446 ------------- 0	10,000 ------------- 0	180 ------------- 0	17,250 ------------- 0	32,759 ------------- 0	660,635 ------------- 0	0 ------------- 0
10O THOMAS NEWCOMB IV FORMER MEMBER/UROLOGIST (END 06/24)	(i) (ii)	316,571 ------------- 0	246,935 ------------- 0	22,122 ------------- 0	17,250 ------------- 0	32,759 ------------- 0	635,637 ------------- 0	0 ------------- 0
11WILLIAM L MELAHN MD SR. VP OF QUALITY AND CLINICAL AFFAI	(i) (ii)	418,770 ------------- 0	1,000 ------------- 0	23,295 ------------- 0	17,250 ------------- 0	32,759 ------------- 0	493,074 ------------- 0	0 ------------- 0
12GARY BUNCH MD VP MEDICAL AFFAIRS/CMO	(i) (ii)	375,542 ------------- 0	0 ------------- 0	34,168 ------------- 0	17,250 ------------- 0	11,105 ------------- 0	438,065 ------------- 0	0 ------------- 0
13AARON PARKER BANKS DO VICE PRESIDENT	(i) (ii)	303,813 ------------- 0	61,166 ------------- 0	162 ------------- 0	17,250 ------------- 0	35,809 ------------- 0	418,200 ------------- 0	0 ------------- 0
14TRAVIS BAILEY SR. VP ADMINISTRATION/CSO	(i) (ii)	284,897 ------------- 0	25,000 ------------- 0	57,493 ------------- 0	17,250 ------------- 0	20,124 ------------- 0	404,764 ------------- 0	0 ------------- 0
15MARIE A DENNISON MD PHYSICIAN/FORMER MEMBER	(i) (ii)	159,539 ------------- 0	120,597 ------------- 0	21,141 ------------- 0	17,250 ------------- 0	11,105 ------------- 0	329,632 ------------- 0	0 ------------- 0
16ANDY B PRICE VP INFO TECHNOLOGY/CIO	(i) (ii)	229,238 ------------- 0	0 ------------- 0	42,002 ------------- 0	17,250 ------------- 0	5,155 ------------- 0	293,645 ------------- 0	0 ------------- 0
17KATHLEEN WILSON VP NURSING	(i) (ii)	252,911 ------------- 0	0 ------------- 0	3,168 ------------- 0	12,997 ------------- 0	21,862 ------------- 0	290,938 ------------- 0	0 ------------- 0
18CHRISTA MURPHY CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	198,257 ------------- 0	500 ------------- 0	1,747 ------------- 0	10,133 ------------- 0	19,374 ------------- 0	230,011 ------------- 0	0 ------------- 0
19MARK RHODES VP UKSC MEDICAL GROUP	(i) (ii)	172,315 ------------- 0	0 ------------- 0	305 ------------- 0	8,641 ------------- 0	7,975 ------------- 0	189,236 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 7	PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT.
ADDITIONAL SCHEDULE J DISCLOSURES	FORMER BOARD MEMBER MARIE DENNISON, MD LISTED ON 990, PART VII IS AN EMPLOYED PHYSICIAN OF THE HOSPITAL. SHE DOES NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS A BOARD MEMBER. THE COMPENSATION LISTED ABOVE IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS AN EMPLOYED PHYSICIAN.
ADDITIONAL SCHEDULE J DISCLOSURES	BOARD MEMBER DR. AARON PARKER BANKS, DO LISTED IN 990, PART VII IS AN EMPLOYED PHYSICIAN OF THE HOSPITAL. HE DOES NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS A BOARD MEMBER. THE COMPENSATION LISTED IN PART VII IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS AN EMPLOYED PHYSICIAN.
ADDITIONAL SCHEDULE J DISCLOSURES	FORMER BOARD MEMBER O. THOMAS NEWCOMB LISTED ON 990, PART VII IS AN EMPLOYED PHYSICIAN OF THE HOSPITAL. HE DOES NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS A BOARD MEMBER. THE COMPENSATION LISTED ABOVE IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS AN EMPLOYED PHYSICIAN.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) EMILY REDWINE	DAUGHTER-IN-LAW OF BOARD MEMBER	84,915	COMPENSATION		No
(2) BETH REYNOLDS	DAUGHTER OF BOARD MEMBER	99,630	COMPENSATION		No
(3) DEBBIE NEFF	SISTER-IN-LAW OF BOARD MEMBER	137,636	COMPENSATION		No
(4) DR NEWCOMB III	FATHER OF BOARD MEMBER	609,911	COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1A	THE GOVERNING BOARD SHALL FORM AN EXECUTIVE COMMITTEE TO ASSIST IN THE ORDERLY AND FAIR GOVERNANCE OF THE BUSINESS BY ACTING ON BEHALF OF THE GOVERNING BOARD (THE "EXECUTIVE COMMITTEE"). THE EXECUTIVE COMMITTEE SHALL CONSIST OF THREE (3) UK GOVERNORS AND TWO (2) SND GOVERNORS. THE EXECUTIVE COMMITTEE SHALL MEET AS NECESSARY AND SHALL BE RESPONSIBLE TO (I) ACT ON BEHALF OF THE GOVERNING BOARD BETWEEN GOVERNING BOARD MEETINGS, SUBJECT TO POLICIES ESTABLISHED BY THE GOVERNING BOARD; (II) ACT ON BEHALF OF THE GOVERNING BOARD FOR THE PURPOSE OF RESPONDING TO URGENT SITUATIONS, SUBJECT TO POLICIES ESTABLISHED BY THE GOVERNING BOARD; (III) MEET PRIOR TO EACH GOVERNING BOARD MEETING TO DISCUSS THE AGENDA FOR SUCH GOVERNING BOARD MEETING AND ANY OTHER RELATED MATTERS AS THE EXECUTIVE COMMITTEE DEEMS NECESSARY OR APPROPRIATE; (IV) PROVIDE GUIDANCE TO AND OVERSIGHT OF THE OTHER COMMITTEES OF THE GOVERNING BOARD WITH RESPECT TO SUCH COMMITTEES' RESPECTIVE PURPOSES, GOALS, FUNCTIONS, DUTIES AND RESPONSIBILITIES; AND (V) PROVIDE OVERSIGHT OF AND ACCOUNTABILITY TO GOVERNING BOARD RELATED BUDGET ITEMS AND EXPENSES.
FORM 990, PART VI, SECTION A, LINE 4	EFFECTIVE JULY 1, 2024, ST. CLAIRE MEDICAL CENTER, INC. (SCMC) AND ST. CLAIRE REAL PROPERTIES, INC. (SCRP) ENTERED INTO A MEMBERSHIP SUBSTITUTION AGREEMENT WHEREBY CLAIRE BLUE HEALTH LLC BECAME THE SOLE MEMBER. THE PRIMARY REASON FOR THE COMBINATION IS TO INCREASE THE AVAILABILITY AND QUALITY OF HEALTHCARE SERVICES PROVIDED BY SCMC AND SCRP, WHILE PROVIDING HIGH QUALITY, EFFICIENT, AND COST-EFFECTIVE HEALTHCARE SERVICES FOR THE BENEFIT OF THE COMMUNITIES IN WHICH SCMC AND SCRP OPERATE. BEYOND BLUE CORPORATION IS THE SOLE MEMBER OF CLAIRE BLUE HEALTH LLC. UNDER THE OPERATING AGREEMENT OF CLAIRE BLUE HEALTH LLC, CLAIRE BLUE HEALTH LLC BECAME THE SOLE MEMBER OF ST. CLAIRE MEDICAL CENTER, INC. D/B/A ST. CLAIRE HEALTHCARE AT CLOSING. THE OPERATING AGREEMENT ALSO PROVIDES THAT CLAIRE BLUE HEALTH LLC IS TREATED AS A SINGLE-MEMBER LLC DISREGARDED AS SEPARATE FROM BEYOND BLUE CORPORATION FOR FEDERAL TAX PURPOSES. ACCORDINGLY, BEYOND BLUE CORPORATION IS REPORTED AS A RELATED TAX-EXEMPT ORGANIZATION THROUGH ITS OWNERSHIP OF CLAIRE BLUE HEALTH LLC.
FORM 990, PART VI, SECTION A, LINE 7A	BEYOND BLUE CORPORATION IS THE SOLE MEMBER OF CLAIRE BLUE HEALTH LLC. UNDER THE OPERATING AGREEMENT OF CLAIRE BLUE HEALTH LLC, CLAIRE BLUE HEALTH LLC BECAME THE SOLE MEMBER OF ST. CLAIRE MEDICAL CENTER, INC. D/B/A ST. CLAIRE HEALTHCARE AT CLOSING. THE OPERATING AGREEMENT ALSO PROVIDES THAT CLAIRE BLUE HEALTH LLC IS TREATED AS A SINGLE-MEMBER LLC DISREGARDED AS SEPARATE FROM BEYOND BLUE CORPORATION FOR FEDERAL TAX PURPOSES. ACCORDINGLY, BEYOND BLUE CORPORATION IS REPORTED AS A RELATED TAX-EXEMPT ORGANIZATION THROUGH ITS OWNERSHIP OF CLAIRE BLUE HEALTH LLC. CLAIRE BLUE HEALTH, LLC APPOINTS ALL OF THE DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO AND BY THE ACCOUNTING DEPARTMENT. THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AND THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	MEMBERS OF THE BOARD OF DIRECTORS, BOARD COMMITTEES, AND MEDICAL CENTER LEADERSHIP SIGN A CONFLICT OF INTEREST STATEMENT ON INITIAL APPOINTMENT OR EMPLOYMENT AND ANNUALLY THEREAFTER. THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE DEPARTMENT HEAD OF BOARD/ADMINISTRATION. THE SCOPE OF THIS POLICY INCLUDES BOARD OF DIRECTORS, BOARD COMMITTEES, ADMINISTRATIVE STAFF, EMPLOYEES, AND MEDICAL STAFF. THE POLICY IS IN PLACE TO AVOID CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS BETWEEN PERSONAL INTERESTS AND ONE'S OFFICIAL RESPONSIBILITIES AND PERFORMANCE OF DUTIES ON BEHALF OF THE MEDICAL CENTER. THE COVERED PERSONS ARE TO AVOID BEING PLACED IN A POSITION FOR PERSONAL PROFIT, EITHER THROUGH MONEY, GOODS, OR INFLUENCE FROM THE CONDUCTING OF MEDICAL CENTER RESPONSIBILITIES. A SELF DISCLOSURE FROM COVERED PERSONS TO THE INTEGRITY OFFICER IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFUSE FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE CEO'S COMPENSATION IS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND IS BASED ON PERFORMANCE CRITERIA AND ON PUBLISHED MARKET SURVEY COMPARISONS FOR HEALTHCARE INSTITUTIONS SIMILAR IN SIZE AND SCOPE OF OPERATIONS. THIS PROCESS IS REVIEWED ANNUALLY. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO, BASED ON PERFORMANCE CRITERIA, AND PUBLISHED MARKET SURVEY COMPARISONS, AND IS REVIEWED AND BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS PROCESS IS REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART X, LINE 28	DURING THE YEAR, THE ORGANIZATION ADOPTED GOVERNMENTAL ACCOUNTING PRESENTATION STANDARDS UNDER GASB, RESULTING IN CHANGES TO FINANCIAL STATEMENT TERMINOLOGY AND CLASSIFICATION PRESENTATION.
FORM 990, PART XI, LINE 9:	LOSS ON IMPAIRMENT OF INVESTMENT -252,592. ADJUSTMENT FROM MEDICAL CENTER AFFILIATION TRANSACTION 37,821,256.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST CLAIRE MEDICAL CENTER INC

Employer identification number

61-0605336

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MOREHEAD PROFESSIONAL SERVICES BUILDING LLC 222 MEDICAL CIRCLE MOREHEAD,KY40351 61-0890222	MEDICAL OFFICE BUILDING	KY	0	1,931,250	ST CLAIRE MEDICAL CENTER INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ST CLAIRE REAL PROPERTIES 222 MEDICAL CIRCLE MOREHEAD,KY40351 47-4578938	SUPPORT ST. CLAIRE REGIONAL MEDICAL CENTER	KY	501(C)(3)	LINE 12A, I	CLAIRE BLUE HEALTH LLC	Yes
(2)BEYOND BLUE CORPORATION 301 MAIN BUILDING LEXINGTON,KY40506 37-1730253	HEALTH SERVICES	KY	501(C)(3)	LINE 5	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CLAIRE-FRANCES HEALTH SERVICES PLLC DBA INFUSION SOLUTIONS 1557 WINCHESTER AVENUE ASHLAND,KY41101 31-1517507	HOME INFUSION SERVICES	KY	N/A	RELATED	-99,996			No			No
(2) KENTUCKY HEALTH COLLABORATIVE LLC 651 PERIMETER DRIVE STE 650 LEXINGTON,KY40517 81-1446226	HEALTHCARE SHARED SUPPORT SERVICES	KY	N/A	RELATED	-55,949	158,375		No			No	7.690 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ADVANCE THE HEALTH AND WELL-BEING OF THE PEOPLE OF NORTHEASTERN KENTUCKY THROUGH ACCESSIBLE, HIGH-QUALITY, PATIENT-CENTERED CARE, INNOVATION, EDUCATION, AND RESEARCH THAT MEET THE EVOLVING NEEDS OF OUR COMMUNITIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	1,808
6	Total number of volunteers (estimate if necessary) .............	6	45
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	44,716
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	2,623

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,527,066	1,880,048
9	Program service revenue (Part VIII, line 2g) .........	241,662,546	309,304,125
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	420,145	1,269,646
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	19,390,654	6,199,637
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	264,000,411	318,653,456
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	30,539,308	860,371
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	139,802,840	162,618,087
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	117,243,833	136,726,293
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	287,585,981	300,204,751
19	Revenue less expenses. Subtract line 18 from line 12.......	-23,585,570	18,448,705
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	150,354,911	198,443,394
21	Total liabilities (Part X, line 26).............	91,650,432	83,588,699
22	Net assets or fund balances. Subtract line 21 from line 20.....	58,704,479	114,854,695

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 235,971,305 including grants of $ 860,370 ) (Revenue $ 289,060,423 )
	UK ST. CLAIRE (UKSC) IS THE LARGEST EMPLOYER IN THE REGION WITH OVER 1,300 STAFF MEMBERS INCLUDING MORE THAN 100 MEDICAL PROVIDERS REPRESENTING 32 MEDICAL SPECIALTIES. IT INCLUDES THE LARGEST RURAL HOSPITAL IN NORTHEASTERN KENTUCKY WITH 159 BEDS, 7 PRIMARY CARE LOCATIONS LOCATED WITHIN 5 COUNTIES, A MULTI-SPECIALTY MEDICAL PAVILION, AN OUTPATIENT CENTER, FEATURING URGENT CARE AND THERAPY SERVICES, HOMECARE SERVICES, AND OPERATES 3 RETAIL SERVICES INCLUDING FAMILY MEDICAL SUPPLY, PHARMACY, AND AESTHETICS. THE HOSPITAL IS AN ESTABLISHED TRAINING SITE FOR THE UNIVERSITY OF KENTUCKY SCHOOL OF MEDICINE'S PHYSICIAN RESIDENCY PROGRAMS. UKSC'S SERVICE REGION SERVES A POPULATION OF OVER 160,000 IN BATH, CARTER, ELLIOTT, FLEMING, LEWIS, MAGOFFIN, MENIFEE, MONTGOMERY, MORGAN, ROWAN, AND WOLFE COUNTIES WITH SIX PRIMARY CARE CLINICS LOCATED IN FRENCHBURG, MOREHEAD, OLIVE HILL, OWINGSVILLE, AND SANDY HOOK. ALL UKSC SERVICES ARE ACCREDITED BY THE JOINT COMMISSION.

4b	(Code: ) (Expenses $ 14,087,444 including grants of $ ) (Revenue $ 17,256,853 )
	HOME CARE:UK ST. CLAIRE HOMECARE IS A SERVICE PROVIDED BY UKSC OFFERING A FULL RANGE OF HOME CARE SERVICES FOR PATIENTS TO RECOVER IN THEIR OWN HOMES. AS ONE OF THE LARGEST PROGRAMS IN THE STATE, UK ST. CLAIRE HOMECARE IS A COMPREHENSIVE IN-HOME SERVICE SYSTEM COMPRISED OF HOME HEALTH, HOSPICE, AND HOME MEDICAL EQUIPMENT. OUR COMMITTED STAFF INCLUDES NURSES, THERAPISTS AND AIDES WORKING AS A TEAM TO HELP MEET VIRTUALLY EVERY HOME CARE NEED. UK ST. CLAIRE HOMECARE IS MEDICARE-CERTIFIED AND LICENSED IN THE STATE OF KENTUCKY.

4c	(Code: ) (Expenses $ 7,178,607 including grants of $ ) (Revenue $ 8,793,659 )
	URGENT AND PRIMARY CARE: THE UKSC URGENT CARE CENTER OFFERS WALK-IN CARE, SEVEN DAYS A WEEK. THE SERVICE OFFERS ON-SITE LAB AND RADIOLOGY SERVICES TO DIAGNOSE, TREAT, AND MANAGE URGENT MEDICAL CONDITIONS AND MINOR INJURIES. UKSC OFFERS A SYSTEM OF SEVEN PRIMARY CARE CLINICS THAT PROVIDE A FULL RANGE OF PREVENTIVE AND THERAPEUTIC HEALTHCARE SERVICES, FROM NEWBORNS TO GERIATRICS, INCLUDING OBSTETRICAL SERVICES. THE UK ST. CLAIRE PRIMARY CARE MEDICAL STAFF INCLUDES BOARD-CERTIFIED FAMILY MEDICINE PHYSICIANS AS WELL AS ADVANCED REGISTERED NURSE PRACTITIONERS, CERTIFIED PHYSICIAN ASSISTANTS, AND FAMILY MEDICINE RESIDENTS AFFILIATED WITH THE UNIVERSITY OF KENTUCKY.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses257,237,356

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	12,641,377	0	795,421

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	1,692,983

f	All other contributions, gifts, grants, and similar amounts not included above		1f	187,065

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,880,048

		Business Code
2a	NET PATIENT SERVICE REVENUE	621999	287,880,047	287,880,047
b	PHARMACY REVENUE	456110	21,424,078	21,379,922	44,156
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		309,304,125

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,154,142			1,154,142
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	297,558
b	Less: rental expenses	6b	7,992
c	Rental income or (loss)	6c	289,566
d	Net rental income or (loss).......			289,566			289,566
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	2,617,040
b	Less: cost or other basis and sales expenses	7b	2,501,536
c	Gain or (loss)	7c	115,504
d	Net gain or (loss).........			115,504			115,504
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	300,287
b	Less: cost of goods sold ..		10b	241,742
c	Net income or (loss) from sales of inventory..			58,545			58,545

Business Code
11a	GME PAYMENTS		900099	1,078,339	1,078,339
b	CAFETERIA & CATERING INCOME		722310	1,024,455	1,023,895	560
c	REBATE REVENUE		900099	288,555	288,555
d	All other revenue ....			3,460,177	3,460,177
e	Total. Add lines 11a–11d ......			5,851,526
12	Total revenue. See instructions.....			318,653,456	315,110,935	44,716	1,617,757

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	840,371	840,371
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	20,000	20,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	5,453,729	4,902,708	551,021
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	949,944	853,966	95,978
7	Other salaries and wages........	126,706,422	113,904,566	12,801,856
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,321,211	4,877,753	443,458
9	Other employee benefits .......	15,975,873	14,361,742	1,614,131
10	Payroll taxes ...........	8,210,908	7,381,314	829,594
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	270,271		270,271
c	Accounting ...........	481,545		481,545
d	Lobbying ...........	11,647		11,647
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	27,341,253	20,383,588	6,957,665
12	Advertising and promotion ....	533,781	309,286	224,495
13	Office expenses .......	6,412,407	3,715,515	2,696,892
14	Information technology ......	3,446,720	1,997,119	1,449,601
15	Royalties ..
16	Occupancy ...........	3,916,978	2,269,599	1,647,379
17	Travel ............	1,801,493	1,043,832	757,661
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	702,501	407,047	295,454
20	Interest ...........	1,108,033	111,241	996,792
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	6,489,151	1,429,295	5,059,856
23	Insurance ...	4,364,177	2,528,718	1,835,459
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUGS AND MEDICAL SUPPL	63,337,047	63,337,047
b	PROVIDER TAX	7,125,351	7,125,351
c	REPAIRS AND MAINTENANCE	5,064,524	2,934,517	2,130,007
d	DUES AND SUBSCRIPTIONS	3,215,241	1,862,994	1,352,247
e	All other expenses	1,104,173	639,787	464,386
25	Total functional expenses. Add lines 1 through 24e	300,204,751	257,237,356	42,967,395	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			4,987,956	1	8,407,948
2	Savings and temporary cash investments .........			32,199,471	2	40,625,348
3	Pledges and grants receivable, net ......			521,494	3	409,014
4	Accounts receivable, net .............			28,275,578	4	30,657,913
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			749,226	7	838,957
8	Inventories for sale or use ............			6,127,137	8	5,932,905
9	Prepaid expenses and deferred charges ......			2,917,449	9	4,716,751
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	84,431,769
b	Less: accumulated depreciation	10b	4,636,554	38,022,183	10c	79,795,215
11	Investments—publicly traded securities .			4,182,818	11	371,765
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			32,371,599	15	26,687,578
16	Total assets. Add lines 1 through 15 (must equal line 33)...			150,354,911	16	198,443,394

17	Accounts payable and accrued expenses .....	40,745,539	17	46,783,004
18	Grants payable ...		18
19	Deferred revenue .........	695,273	19	581,980
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	29,374,029	23	27,844,714
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	20,835,591	25	8,379,001
26	Total liabilities. Add lines 17 through 25..	91,650,432	26	83,588,699

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	58,704,479	31	114,854,695
32	Total net assets or fund balances ...........	58,704,479	32	114,854,695
33	Total liabilities and net assets/fund balances ........	150,354,911	33	198,443,394